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Individual
MS. KIMBERLY ANNE MOODY
Active
Individual
MS. KIMBERLY ANNE MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106H00000X
Marriage & Family Therapist
IMF96820
CA
171M00000X
Case Manager/Care Coordinator
Primary
MFTI
CA
Other
Enumeration date
09/02/2015
Last updated
12/02/2016
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